Active NPI
Susan Jane Aycock, CRNA
- Certified Registered Nurse Anesthetist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN064988
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2939 - Phone
- (985) 649-8767
- NPI assigned
- May 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN064988 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Slidell, LA 70458-2939
Mailing address
120 Innwood Dr
Covington, LA 70433-9123
Phone (985) 892-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1650668 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS, WV, NC
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Cherokee Rose LN
Covington, LA 70433-7244
Phone (985) 871-1721
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7602 | NC | MD | Pharmacist |
| RN064988 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Anesthesia Consultants | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Galleria Anesthesia Associates, LLC | Current | Accepting new patients | |
| Anesthesiology Affiliates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190
131 Cherokee Rose Ln
Covington, LA 70433
Phone (985) 641-8982
4407 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-9700
67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
58515 Pearl Acres Rd
Slidell, LA 70461
Phone (985) 641-8982
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
- NPI 1376878884
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Metairie, LA
- NPI 1962966796
-
- Anesthesiology Physician
- Kenner, LA
- NPI 1639816374
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
MS
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1003819533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 INNWOOD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339123",
"telephone_number": "985-892-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-649-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-30",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN064988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1650668",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.